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Dana Boucek
NPI 1154612117 · on the registry since 2011 · sole proprietor
Practice
- Address
- 100 North Mario Capecchi Dr.
Primary Children'S
Salt Lake City, UT 84113 - Phone
- (801) 662-5700
- Organisation at this address
- Tellica Imaging, Llc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services Inc
Ihc Health Services IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 430
Additional practice sites
- 3401 Civic Center Blvd, Phildelphia, PA
Registry record
- Primary taxonomy
- 2080P0202X
2080P0202X
- Also registered as
- 390200000X
- Licence states on file
- PA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2021-10-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah